SOCIETY FOR MINING, METALLURGY, AND EXPLORATION, INC. Student Chapter Information Sheet Date: _____________________________ Student Chapter : _________________________________________________ Chapter's Campus Mailing Address:__________________________________ ________________________________________ ________________________________________ Chapter's Telephone: __________________________________________ Fax: __________________________________________ E-mail and WWW: __________________________________________ Chapter Officers : Date Terms Begin: ________________Date Terms Expire: President: ____________________________________________________ Vice President: __________________________________________________ Secretary: ____________________________________________________ Treasurer: ____________________________________________________ Student Chapter Representatives Subcommittee representative: ______ Other: ____________________________________________________ (include full title) Faculty Sponsor : __________________________________________________ Sponsor's Mailing Address:_________________________________________ ___________________________________________ ___________________________________________ Sponsor's Telephone/Fax/E-mail: ___________________________________ Local Section Counselor : ___________________________________________ Counselor's Mailing Address:_______________________________________ ___________________________________________ ___________________________________________ Counselor's Telephone/Fax/E-mail:__________________________________ 1
